| Hmg Community Clinic Inc, | |
|
38900 Trade Center Drive Suite B Palmdale CA 93551 | |
| (661) 945-4581 | |
| (661) 949-5887 |
| Full Name | Hmg Community Clinic Inc, |
|---|---|
| Speciality | Family Medicine |
| Location | 38900 Trade Center Drive Suite B, Palmdale, California |
| Authorized Official Name and Position | Ruben Hernandez (OWNER) |
| Authorized Official Contact | 8057978325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hmg Community Clinic Inc, 38900 Trade Center Drive Suite B Palmdale CA 93551 Ph: (661) 945-4581 | Hmg Community Clinic Inc, 38900 Trade Center Drive Suite B Palmdale CA 93551 Ph: (661) 945-4581 |
| NPI Number | 1710500483 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 9335562297 |
|---|---|
| Medicare Enrollment ID | O20200710000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710500483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ruben A Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700879897 PECOS PAC ID: 9032006887 Enrollment ID: I20040304000467 |
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